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A Statewide Nurse Residency Program Evaluation.
Maryland hospitals implemented a standardized nurse residency program (NRP), but variations in practice occurred. Leadership support and resources influenced program adaptations, highlighting the need for replicability and scalability.
Area of Science:
- Nursing Education
- Healthcare Administration
- Program Evaluation
Background:
- Hospitals nationwide are implementing nurse residency programs (NRPs) for newly graduated registered nurses.
- Maryland acute care hospitals adopted a standardized, 12-month vendored NRP.
- Variability exists in administrative practices, content, and deliverables despite a common curriculum.
Purpose of the Study:
- To evaluate the statewide Maryland Nurse Residency Program (NRP).
- To understand variability in NRP structure, process, and implementation.
- To identify challenges, successes, and best practices for NRP implementation.
Main Methods:
- Conducted a statewide program evaluation of the Maryland Nurse Residency Collaborative.
- Utilized 26 semi-structured interviews with hospital NRP coordinators.
Main Results:
- Leadership support and resources were key factors in NRP implementation.
- Differences in patient populations, nurse resident numbers, and organizational needs drove program adaptations.
- Variability in administrative practices, content, and deliverables was observed.
Conclusions:
- Program customization is expected, but essential for achieving outcomes.
- Replicability and scalability are crucial for successful NRP implementation.
- Best practices for garnering leadership support and reducing adaptations are shared.

